Individual
PATRICIA ANN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
213 W MAIN ST, MALONE, NY 12953-9577
(518) 481-8744
(518) 481-8543
Mailing address
213 WEST MAIN STREET MALONE NY, MALONE, NY 12953-1246
(518) 481-8744
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
632597
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05320310
—
NY
Enumeration date
01/08/2018
Last updated
01/18/2024
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